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8/3/2018
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OSPI/Educational Service District Regional Behavioral Health Pilot Project Update
Children’s Mental Health WorkgroupJune 28, 2018
Dr. Mona Johnson, Director
Student Engagement and Support
Office of Superintendent of Public Instruction
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Background and Overview In response to recommendations from the Children’s Mental Health Workgroup, E2SHB
1713 (2017) and E2SHB 2779 (2018) created the Children’s Behavioral Health Regional Pilot Project at the Office of Superintendent of Public Instruction (OSPI).
OSPI currently collaborates with Educational Service Districts 101 and 113 to implement and study the efficacy of funding a regional coordinator to manage system-wide activities to increase access to behavioral health services for school-aged children and families eligible for Medicaid.
Goal: To cultivate cross system regional and state collaboration, between schools and communities, to increase equitable access to care for students in need of behavioral health services and supports.
Purpose: Investigate the benefits of having a dedicated regional staff position to network with partners and K-12 school districts to coordinate behavioral health service delivery to students and families eligible for Medicaid.
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ESD 114 Olympic
• 15 LEAsESD 189 Northwest
• 35 LEAs
ESD 171 North
Central
• 29 LEAs
ESD 101 Northeast
• 59 LEAs
ESD 123 Southeast
• 23 LEAs
ESD 105 South
Central
• 25 LEAs
ESD 112 Southwest
• 30 LEAs
ESD 113 Capital Region
• 45 LEAs
ESD 121 Puget Sound
• 35 LEAs
OSPI, ESDs, and LEAs
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ESD Regional MH Coordinator Activities Coordination of Medicaid billing for schools and school
districts in the ESD region
Facilitation of partnerships across systems (State-ESD-District-
Regional-Local Partners)
Integration of service models and ensure the adequacy of
system level supports for students in need of behavioral health
supports
Collaboration among pilots sites and OSPI
Delivery of comprehensive instruction to students in one high
school in each pilot site that improves mental health literacy in
students and is designed to support teachers
Conduct Case study of the pilot project impact and
recommendations due to the Governor and Legislative
committees by December 1, 2019.
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GoalTo cultivate cross
system regional and state collaboration, between schools &
communities, to increase equitable access to care for
students in need of behavioral health
supports.
Inputs Outputs
Activities ParticipationOutcomes/Impact
Who We Reach• ESD’s • Local School Districts• State/Regional
Partners (HCA, DOH, etc.)
• Decision Makers• Community Partners • Students & Families
Intermediate(2 years)
• Increased access to MH/BH care
• More efficient service delivery
• Effective regional and local service delivery to K12 students and families
• Partnership growth
• Increased knowledge
• Sustained funding and resources
Long Term(3-5+ years)
• Reduced systems barriers
• Increased access to MH/BH care
• Continuity & coordination of MH/BH care
• Sustainable partnerships
• Policy change• Funding for
replication • Improved behavioral
(per HYS) & educational outcomes
EvaluationCollect data, analyze, interpret and report to Legislature, Governor & Stakeholders
Determine ability to replicate across other ESD’s and state Influence workforce capacity & skills
What We Invest• Staff (OSPI, Two pilot
ESD’s, Program Evaluator)
• Legislative guidance • Funding • Leadership Facilitation• Partnerships• Evaluation/Continuous
Quality Improvement • Support
AssumptionsSchool-based MH/BH service delivery is effective
An ESD Regional Coordinator increases access to care for K12 students and families Fostering school & community partnerships increases access to care
Schools effectively use Medicaid reimbursement to expand health services to studentsMedicaid service delivery and billing is accessible for schools
External FactorsLegislative/Decision Maker Support(s)
Sustained Funding Partnerships
Clear Communication Across Systems Stakeholder Buy-in
Project Logic Model: Children’s Mental Health OSPI/ESD Regional Pilot Study
RCW 28A.630.500
What We Do• Coordinate Medicaid
Billing in ESD regions• Facilitate partnerships • Integrate system supports• Collaborate with regional
and state partners• Enhance regional
coordination of BH/MH care
• Increase education, awareness and support to local school districts
• Develop community & school partnerships
• Deliver a MH literacy program
• Pursue Sustainability
Short Term (1 year)
• ESD Lead/Point of Contact
• Needs & Gap Analysis
• Resource & Fund Mapping
• Increased education & awareness
• School-based service delivery
• Coordination of care
• Data collection
Working Draft5.25.18
Department of Health
(DOH)
Healthy Students
Promising Futures Learning
Collaborative (HSPF)
Educational Service Districts
Health Care
Authority (HCA)
Division of Behavioral Health and Recovery (DBHR)
Managed Care Health
Plans (MCOs)
CMS Affinity Group
Project Partnerships
ESD 101 & ESD 113
Regional MH Pilot
Coordinators
Draft 5.25.18
ESD Regional MH Pilot
Coordinator
Families and
Students
Office of Superintendent
of Public Instruction
(OSPI)
Educational Service Districts
(ESDs)
All School Districts in ESD Region
Our Goal: To cultivate cross system regional and state collaboration, between schools & communities,
to increase equitable access to care for students in need of behavioral health supports.
Department of Children Youth and Families(DCYF)
Children’s Mental Health Legislative
Workgroup
University of MD National
Center for School Mental
Health
Other interested partners
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Children’s Behavioral Health Regional Pilot ProjectTimeline and Status
2015 2016June2017
July 2017
Oct 2017
Jan 2018
Feb 2018
March 2018
April 2018
May 2018…
June 2018
… Dec 2019
Recommendations
from MH Workgroup
for increasing access
to care across
systems deliver to
the legislature
E2SHB 1713
passes, includes
implementation of
MH Workgroup
Recommendations
Contract with
Maike &
Associates
for Case
Study
Establish Formal
Partnership
with HCA
Children’s
Mental Health
Legislative
Committee
Forms
ESD 101 &
113
Regional
Pilots Launch,
begin meeting
monthly
Begin bi-
weekly TA
calls
Intensive District
and Regional
Partner Outreach
Establishes
Pilot
Regional
Mental Health
Coordination
at ESD 101 &
113
Conduct Case Study for Future Recommendations (Due 12/1/2019)
Create
Project Plans
and Logic
Models
Establish Formal
Activity Reporting and
Ongoing Data
Collection
Assess Progress,
Prepare for 2019
Implementation
Quarterly Meetings
with HCA
Health Students
Promising Futures
National Learning
Collaborative
Last Updated: 6.26.18
Children’s Behavioral Health Regional Pilot Project
Case StudyGuiding Questions for Research:
Access to Care
Connections with schools and partners to learn about systems and needs to reduce barriers
Compare and contrast across and within regions to learn from schools and ESDs
Systems Integration
Regional and State Level monthly activity data collection reports to track coordination, facilitation, and integration to determine impact
Sustainability
Increase school district ability to receive reimbursement for services that can be re-invested in school-wide health services
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What we are Learning Dedicated Staff Time is Key
Establish connections with all districts in the region to identify current school systems use of School-Based Health Services and Medicaid Administrative Claiming Program for Medicaid reimbursement to learn from their experience
Gain an understanding of the funds schools are receiving through reimbursement to provide support in planning for reinvestment in their health system
Engaging in local health transformation work matters! Strong OSPI and HCA collaboration for state, regional and local project implementation
Creating cross-systems school/community relationships and building trust
Increasing school understanding of health integration and what that means for student success
Participating with Accountable Communities of Health
Establishing connections with Managed Care Providers
Project ContactsOffice of Superintendent of
Public Instruction
Capital Regional ESD 101
Counties: Ferry, Stevens, Pend
Oreille, Lincoln, Spokane, Adams,
Whitman
North East Washington ESD 113
Counties: Grays Harbor, Mason,
Pacific, Thurston, Lewis
Case Study
Maike & Associates
Camille Goldy, Behavioral Health
& Suicide Prevention Program
Supervisor,
Andrew Bingham, Regional
Coordinator,
Sara Ellsworth, Regional Coordinator,
Michelle Maike, Evaluation
Director/Research Partner,
Dr. Mona Johnson, Director,
Student Engagement and
Support,
Ramona Griffin, Director of
Prevention Programs,
Erin Riffe, Director, Behavioral Health
and Student Support,
Megan Osborne, Research Associate,
Martin Mueller, Assistant
Superintendent, Student
Engagement and Support,
Mick Miller, Assistant
Superintendent,
Mike Hickman, Assistant
Superintendent,
